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Home My WebLink AboutMINUTES - 07211987 - 1.4 (2) 1"n40 POSITION ADJUSTMENT REQUEST No. � RECEWEt' rr�,EhT pERSOhdDate: 6/30/87 p.ERSORNEL DEPARTMENT Dept. 26 �p SEE Copers �Irg. No. BEIAW A ency No. 54Department HEALTH SERVICES Bud et t%o. Action Requested: Increase the hours of MHTS "C" level position #54-1643 from P.I. to 40/40 (org # 1 • reduce the hours of nm "C" level position #54-1343 from 40/40 to 20/40. Proposed Effective Date: 7/21/87 Explain why adjustment i, needed: To adjust staffing patterns for treatment services on "E" Ward. Classification Questionnaire attached: Yes No Estimated cost of adjustment: Cost is within department's budget: Yes No (offsets) . If not within budget, use reverse side to explain how costs ar a funded. Department must initiate necessary appropriation adjustment. Use additional sheets for further explanations or comments. WEB BEADLE DEPT PERSONNEL OFFI:ER For) Department Head Wsonnel Department Recommendation Date: Increase the hours of Mental Health Treatment Specialist C Level position #54-1643 from P.I. to 40/40; reduce the hours of MHTS C Level position #54-1343 from 40/40 to 20/40, Salary Level TA 1194 (2780-3388). - upend Resolution 71/17 establishing positions and resolutions allocating classes to the ;asic/Exempt Salary Schedule, as described above. ffective: day following Board action.-7-d—a-'97 15'� ` l Date for Director of Personnel ounty Admintrator zve Recommendation of Director of Personnel Date: Z/-7/-.p Disapprove Recommendation of Director of Personnel Other: 4r itCountepAdministrator- 3ard of Supervisors Action JU L t 1987 Phil Batchelor, Clerk of the Board of djustment APPROVED Im on Supervisors and County Administrator JUL 21 198721 ate: By: PPROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT. 3,00 (M347 1. 218.5 _._. ... _.. ...... - - h �. CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT TR -- ---- ALCOHOL/DRUG ABUSE/MENTAL HEALTH DIVISION To: Robert Alaniz Date: May 29, 1987 Assistant Division Administrator From: r rn Subject: =SIFICATION QUESTIONNAIRE e Services Progra-m Supervisor As requested, please find the classification questionnaire for MHTS-C Level., .This supportive doct.unent. takes into account serious programatic decisions reflecting the responsibilities and duties of the.-,C_-Level personnel in h1HScreening as if affects the night. shift when the MHTS is the sole clinician on duty as well as in lead capacity. As you may be aware, within the past three (3) years there was a program decision made to close the eight (3) bed Crisis Unit on E Ward, and move the Crisis Services to Concord. Approx.i.mat.ely 750 of the MHTS staff assigned to the hospital were transferred to Regional Clinics, however, resulting in serious st--ffing problems on E Ward. T-. i �dmiristrative decision -,.;Fs made to adjust staffing hours for :liScreening. The :-TITS A-Level working under the direction of the MHTS-C Level was relocated from the E.R. area to E Ward to begin what became a fully operative 24-hour Crisis Service. The MHTS-A Level was replaced by two (2) psychiatric technicians, and.we opened a five (5) bed unit in MHScreening. This change put full lead responsibility for incoming patients; patients on the Crisis Unit; consultation work to other hospital units and outside agencies on the MHTS- C Level as the sole clinician on duty. In addition, we began operating with 56 hours of 'P.I. (on-call) coverage to compensate for loss of staff during the transition, and have maintained our current staffing pattern for approximately 2z years. The classification questionnaire more clearly describes the role and expectation for the C-Level functioning in MHScreening, and eliminates the need for 40 of the 56 hours of P.I. ocverage. led r ,SUN 0 4198 ��A COUNTY CONjRA CO� „ RpRM►k! RD��lty►SjRA�ION A-41 a 10/81 ATTACHMENT CLASSIFICATION QUESTIONNAIRE: C .. If public contacts are required either in person or by phone, state with whom, and general,�or�iw a�purposes: Majority of job consists of contacts with public, in person or by phone, either in direct clinical intervention with patients and family; in consultation with other agencies. Phone number is widely listed as crisis, consultation and referral line.. Calls from suicidal/homocidal, depresse //agitated and/or psychotic clients are responded to, as well as calls/direct catact. with friends/families for advise, referrals or intervention are responded to. 4iat decisions must be made in performing the work: Assessment and treatment of mental bmd hclients. Decisions involve course and level of treatment required in any given case. Continually making decisions regarding diagnosis, treatmeht and disposition of clients. In any given session with individual or family must make instant to instant decisions, based on past experience and current observation, regarding therapeutic process, or relationship itself. Knowledge and perceptions must be continually integrated as basis for sound decisions which, as in cases with potentially suicidal or homocidal persons, often involve life-and-death matter and matters relative to the civil rights of both patients and their families. Under W&I Code 5150, responsibility is given for determining patients who may be a danger to themselves or others, or who may be gravely disabled and have been brought to t=ithew Memorial by police or other agencies for that evaluation. Evaluations and treatment is also required for the numerous clients who come to Screening voluntarily but vhcsebehavior requires a subsequent 5150. Decisions are made regarding clients who are intoxicated on alcohol or other dangerous drugs which pcse both physical and emotional complications. These cases required appropriate diagnosis in that misdiagnoses may compromise the client's subsequent treatment and recovery. .Advanced working knowledge of the DSM III is recruired for differential diagnostic decisions to- determine whether a client is appropriately served in psychiatric services or requires further medical evaluation. Independent decisions are required to be made regarding the appropriate level of care. These .may range :from a highly secured, structured acute psychiatric inpatient setting to release to streets to assume own life style. Determinations are made based on the clients' psychopathology versus current functioning. These assessments may involve a recommendation for medication, evaluaticn and referral to either a staff M.D. or an on-call physician. What parts of the job require the greatest skill, knowledge and involve the greatest responsibility: Responsibilities include triage of all patients presented (direct contact/phone) and accurate assessment in event of life/death situations (suicidal, high AWOL risk toxicity problems, restraint issues, etc.) ; and to assure quality care of all patients presently in Crisis Unit beds and in Reception area by alaocating work/ patient assignments to other staff on duty. As sole licensed mental health professional provides supportiw./consultation role to all hospital patient care areas, ATTACHMENT Page 2. as well as outside agencies. Greatest skill and knowledge include full working knowledge of Welfare &,Institutions Code; indepth knowledge of DSM III and its application based on patient profile and mental status; ability to made advanced psychological assessments with full range of clinical expertise to make proper therapeutic interventions ranging from crisis work, to effective psycho- . : . therapy sessions with seriously disturbed clients to complex family ther-ou techniques. Position requires indepth knowledge of policies and'procedures_.. for Mental Health Screening, including not only patient este policies-and administrative for E Ward but those that involve ambulances, police, transferring facilities, etc. wiidi 'vary greatly depending upon the agency. grill in eoardiiating and organizing patient flow and work flow. CONTRA COSTA COUNTY CLASSIFICATION ' QUESTIONNAIRE NAME DEPARTMENT DIVISION HEALTH SERVICES A/DA/MH OFFICIAL JOB CLASSIFICATION WORKING JOB TITLE Place of Work and Assigned Hours Mental Health Screening: MENTAL HEALTH TREATMENT SPECIALIST-C LEVEL MHTS-C LEVEL 411 Es9 /j�,i:-tvariable includin( niqs 1 s Time Required Description of Work I 40% As sole clinician on duty, exercises independent clinical judgement in the evaluation and care of mentally disturbed patients. In this capacity provides individual and family crisis therapy with children, adolescents and adults covering a broad spectrum of psychopathology within the DSM 11I categories. Provides written reports for inclusion in medical records. 20% Evaluates 5150 status by conducting full psychosocial assessments, including full range of psychodiagnostic techniques. Makes independent clinical judgement regarding acuity level of individuals, and makes arrm-igements for admission to acute psychiatric hospital settings, both at Merrithew Memorial and other hospitals, as appropriate. Prepares written reports of clinical findings for medical records and for transferring facility use. 10% In lead capacity, provides clinical and programatic supervision to nursing personnel as sole clinican on duty in MHScteening. Delegates work assignments and oversees workflow. May provide clinical and programatic supervision to MHTS-B level and clerical staff as lead worker in MHScreening. 10% Provides psychiatric liaison consultation services to the Medical Emergency Room and Medical/Surgical Services, and provides written consultation reports in sole clinician role. 10%, Provides consultation and evaluation both in person and on phone for wide vanity of mental health professionals, M.D. , police/probation officers, residential care operators, group home counselors, nursing home staff regarding individuals in their care as sole clinician on duty. Provides written report of findings for their use, as requested. 10% In lead capacity, provides input into staff evaluation and acts as mediator for staff issues. Assists in the selection and training of staff, supervises interns, participates in staff conferences, meetings and in-service trainings with other agencies representing Crisis Services. Ai 75 List Machines or Equipment Operated as Part of Job: Designate the name and title of the person who supervises position Linda Kirkhorn, Aerate Services Program Supervisor List the names of employees supervised. 11 a whole un o supervised simply name the unit and stale t e number of employees, SEE ATTACD ENT II public contacts are required either in person or by phone,stats with whom,and In gonerol, for what purposes s SEE ATTACHMENT What decisions must be made In performing the work t SEE ATTACHMENT What parts of the job require the greatest skill,knowledge,and involve the greatest responsibility t SEE ATTACHMENT The above statements accurately describe this job as It has been for the pastand "'—"—(Y ars Months t$Ignolure I' 1 Dote) COMMENTS OF IMMEDIATE SUPERVISOR In what way are the above statements Incomplete, Inaccurate of misleading t What is the basic purpose or function of this position 7 What changes have occurred In the work of this position i What parts of ibis job ds rou check or review closely and why 7 It the poo ilon requires typing or shorthand,are they Incidental or essential 7 Typing t Time Required s r Shorthand t Time Requited t State what you believe to be the special certificates and minimum amounts of training and experience required to perlotm this job s Required education r Requited oapstlence I Requited itpdnse or crit ca r �� I Slgnatuie =r�-'� • 1 pale 1 -- , COMMENTS OF DEPARTMENT HEAD Comment on the statement of the employee and supervisor. Designate any other positions in the department which you believe are similar In duties and responsibilities. 1 Signature I (Date I